ENHANCING THE VALUE OF THE MEDICAL...
Transcript of ENHANCING THE VALUE OF THE MEDICAL...
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ENHANCING THE VALUE OF THE MEDICAL PHYSICIST: AAPM INITIATIVES
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ENHANCING THE VALUE OF THE MEDICAL PHYSICIST: AAPM INITIATIVES
Bruce Curran, MS, ME, FAAPM, FACMP, FACRPresident, American Association of Physicists in Medicine
Associate Professor, Virginia Commonwealth UniversityChief Therapy Medical Physicist, HH McGuire VA Medical Center
Richmond, VA
Research Funding Clinical Funding
• Salary supported by a VHA contract with VCU Travel Funding (2015-6) (with some honoraria)
• AAPM• AAPM Chapters• Sun Nuclear (2016 QADS)• ASTRO (IHE-RO Technical Committee)• AIP (Audit Committee, Assembly of Society
Officers)
DISCLOSURES
Who are we? AAPM Efforts
• Ad Hoc Committees• Presidential Initiatives• Council Initiatives
AAPM Summer School AAPM Annual Meeting Medical Physics Leadership
• Medical Physics 3.0 AAPM Governance
OUTLINE
Board of Directors50 – 12 BMAL, 21 CE, 5 off, 12 NVBoard of Directors
50 – 12 BMAL, 21 CE, 5 off, 12 NV
8542 Members(as of 1/13/2016)
8542 Members(as of 1/13/2016)
Committees by Council
Committees by Council
Executive DirectorExecutive Director EXCOMEXCOMCommittees by
TypeCommittees by
Type
Admin (49)Board (14)
Education(35)Professional (28)Science (132)
AAPM Staff (27)Councils (4)
Committees (41)Subcommittees (72)Working Groups (57)Task Groups (66)
Other (18)
16.1%
62.4%
2.0%
1.5%2.0%
1.7%
0.1%
14.2%
Primary Specialty as Reported by Members
DiagnosticTherapyNuclear MedicineMagnetic ResonanceRad Safety/Health PhysicsEngineeringUltrasoundUndisclosed
Ad Hoc Committee on TG100 Implementation (completed, 2015)• Created education program (approved by Board)• Suggested modifications to TG100 to extend roll-out of
process• Moved to Administrative Council WG in 2016• Certificate Course for 2016 Annual Meeting• Mini-courses for presentation at chapter meetings, …
Ad Hoc Committee on MedPhys Match Program (continuing)• Successful Matchs held in 2015, 2016• Further work on finances and corporate structure (LLC)
AD HOC COMMITTEES
Ad Hoc Committee on Corporate Relations (completed, 2015)• Submitted report at July, 2015 Board Meeting• Recommended new staff person for Corporate Relations• Additional recommendations in report• Implementation Committee initiated in March, 2016
Ad Hoc Committee on AAPM Reports Integration (continuing)• Better structure for AAPM Reports
• Keywords, sorting• More consistent availability
Ad Hoc Committee on Medical Physics 3.0 (continuing)• Initiated in late 2015• Working with Medical Physics Leadership Academy• Working with 2016 AAPM Summer School
AD HOC COMMITTEES
Certificate Programs
2016 – TG100 Certification
Annual Meeting SAMs
PRESIDENTIAL INITIATIVES (ON-GOING)
Education Council• Non-member Virtual Library Subscriptions• MP Training Center - Rwanda
Science Council• Technology Assessment• Annual Meeting Mentorships• Junior Member Travel Grants• NCI RFI on the Future of Young Investigators
Administrative Council• SAMs for Proffered Science Sessions• Restructuring of AAPM Publishing
COUNCIL INITIATIVES
Do Medical Physicists wish to be recognized as:a.Skilled equipment technicians who are capable
of solving a variety of problems.b.Technologic assistants in the diagnosis and/or
treatment process.c.Partners with physicians (and other members of
the team) in the development of techniques for improving patient health.
d.Managers of equipment.e.Overpaid staff who do not significantly
contribute to the process of patient care.
MEDICAL PHYSICS LEADERSHIP:WHAT IS THE PROBLEM?
Too often we are seen as highly paid technicians who, while contributing to the patient care process, are not recognized for our intellectual contributions, but more for getting QA and regulatory tasks done.
As reimbursement changes to a capitated model where an institution receives a fixed reimbursement, it will be necessary for Medical Physicists to justify their importance to the process (as opposed to using MPAs or other less-expensive personnel) to accomplish the task.
WHAT IS THE PROBLEM?
Marketing• We must ensure that our capabilities and
contributions are recognized and used by:• Our peer physicians (Radiologists, Radiation Oncologists,
…)• Senior Management (VPs, Deans, Owners, Managers, …)• The “C-Suite”
We need to “come out of the closet”• Must be present at:
• Tumor Boards• Chart Rounds• New Patient Rounds• Morbidity and Mortality Rounds
HOW DO WE CHANGE PERCEPTIONS?
Getting involved / known by Senior Leadership• CEO, CMO, CFO, COO, …
Recognition for your skills and education• Technology Decisions
• Equipment Characteristics• What is Clinically Necessary
• IT Support• TMS, TPS systems are Medical Devices for which the
Medical Physicist is the responsible individual per ACR, NRC, …
• Technical Leadership• Training for RTTs, Nursing, Dosimetrists, …
THE C-SUITE
Recognition of your clinical skills• Tumor Board• New Patient Rounds• Chart Rounds
Don’t just check charts!• Imaging• Contouring• Planning• Delivery
THE C-SUITE
You need to document the value that you bring to the clinic
Document• Charges that result from Physics Services• Errors caught / Good Catches done• Training
• RTT / CMD / MD Training hours• Regulatory Activities
• Radiation Safety Training
METRICS
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MEDICAL PHYSICS 3.0
With thanks to Ehsan Samei, …
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AAPM GOVERNANCE:CAN WE DO BETTER?
Is the AAPM Board of Directors an Effective Board?• Formulate key policies and strategic goals• Authorize major transactions or other actions• Oversee matters critical to the health of the organization• Evaluate and help manage risk• Steward the resources of the organization for the long run• Mentor volunteers and staff by providing resources, advice,
and introductions to help facilitate operations. Should be focused on Strategic rather than Operational
issues. Board Members should be elected based on skills
needed by AAPM
AAPM GOVERNANCE
Do AAPM Members understand the responsibilities of a Board Member?• Duty of Care
• Exercise reasonable care when he or she makes a decision as a steward of the organization.
• Duty of Obedience• Must be faithful to the organization's mission. They are not
permitted to act in a way that is inconsistent with the central goals of the organization.
• Duty of Loyalty• Never use information obtained as a member for personal
gain, but must act in the best interests of the organization.
AAPM GOVERNANCE
Reference: Bruce R. Hopkins, Legal Responsibilities of Nonprofit Boards (BoardSource 2003). Taken from: http://www.bridgespan.org/Publications‐and‐Tools/Nonprofit‐Boards/Nonprofit‐Boards‐101/Legal‐Responsibilities‐Nonprofit‐Boards.aspx#.Vp56Ijbnvqw
Do AAPM Chapter-elected Board Members “represent” a chapter?• NO: once elected, their loyalty and fiduciary responsibility
is to AAPM, not to the chapter.• They are FROM the chapter, not FOR the chapter.
AAPM GOVERNANCE
AAPM GOVERNANCE
The organization characteristic that seems to most influence both the individual board member’s perception of board performance and his or her satisfaction with board service is the number of board members. In general, particularly in boards with more than 20 individual members, board members tend to rate both their perception of board performance and their satisfaction with service significantly lower than those serving on boards with 20 or fewer.
Board Retreat (March 8-9, 2016)• Vision / Mission
• Our Vision and Mission are not where we want to be / go.
• Who do we want to be?• Governance Structure
• Changes in the structure of AAPM could help to focus on Strategic issues.
• Developing an operational structure would allow the Board to focus on strategic issues.
• Communication• Need to communicate more effectively with the
Membership and Chapters on the issues of Governance and how to improve.
GOVERNANCE ASSESSMENTSTRATEGIC PLANNING / AD HOC MEETING